德克萨斯州-墨西哥边境县农村拉丁裔青少年HPV疫苗依从性相关因素

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Daisy Y Morales-Campos, Marisol D McDaniel, Gabriel Amaro, Bertha E Flores, Deborah Parra-Medina
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引用次数: 0

摘要

目的:与全国数据相比,德克萨斯州西班牙裔青少年人乳头瘤病毒(HPV)疫苗系列的完成率较低。我们研究了德克萨斯州-墨西哥边境县农村西班牙裔青少年HPV疫苗接种和完成与特定个人和社区水平特征之间的关系。设计:对来自更广泛的癌症预防项目的数据进行横断面分析。背景:德克萨斯州和墨西哥边境县的服务不足的殖民地社区。参与者:西班牙裔母亲或照顾者(n=712)和11-17岁的青少年(n=1120),这些青少年与他们社区的公开数据有关。主要结果测量:在癌症预防项目结束时,在德克萨斯州免疫登记或青少年电子医疗记录中报告的HPV疫苗依从性(即开始和完成)。方法:对个体和邻域数据进行Logit和多层次混合效应logistic回归。结果:与HPV疫苗接种开始和完成相关的因素是女性性别。结论:研究结果表明,西班牙裔青少年接受入学所需的疫苗系列与HPV疫苗接种开始和完成之间存在关系。在资源有限的环境中,如联邦合格的卫生中心,进一步的努力应侧重于在提供者一级(例如,关于捆绑疫苗推荐的教育)和实践一级(例如,训练有素的免疫导航员的外联和支持)实施最佳做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with HPV Vaccine Adherence among Latino/a Adolescents in a Rural, Texas-Mexico Border County.

Objective: Completion of human papillomavirus (HPV) vaccine series among Texas Hispanic adolescents is low compared to national data. We examined the association between HPV vaccine initiation and completion among Hispanic adolescents in a rural, Texas-Mexico border county and specific individual and neighborhood-level characteristics.

Design: Cross-sectional analysis of data from a broader cancer prevention program.

Setting: Underserved colonias communities in a Texas-Mexico border county.

Participants: Hispanic mothers or caregivers (n=712) and adolescents aged 11-17 years (n=1120) linked to publicly available data about their neighborhood.

Main outcome measures: HPV vaccine adherence (ie, initiation and completion) as reported in either the Texas Immunization Registry or adolescents' electronic medical records, measured at the end of the cancer prevention program.

Methods: Logit and multi-level mixed-effects logistic regression of individual- and neighborhood-level data.

Results: Factors associated with HPV vaccine initiation and completion were female gender (P<.01), adolescent insurance status (P<.001), and receipt of required vaccines (P<.001). After controlling for neighborhood-level characteristics, only receipt of required vaccines remained significant.

Conclusions: Findings indicate a relationship between Hispanic adolescents' receiving the required vaccine series for school admission and HPV vaccine initiation and completion. In resource-limited settings like federally qualified health centers, further efforts should focus on implementing best practices at both the provider level (eg, education on bundled vaccine recommendation) and practice-level (eg, outreach and support by trained immunization navigators).

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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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